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PUROHIT PEDIATRIC CLINIC, LLC

Specialist·ANNISTON, AL·NPI: 1790971166Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$23.2M

$23,204,443

Total Claims

640K

Beneficiaries

595K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+20%
2019
$2.6M
-8%
2020
$2.4M
+60%
2021
$3.9M
+6%
2022
$4.1M
-1%
2023
$4.1M
-7%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 35% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$8.2M

93K claims · 35.3%

Your Cost: $88.52/claim|Median: $53.41
1.7× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$3.0M

50K claims · 12.8%

Your Cost: $59.47/claim|Median: $37.81
1.6× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.7M

9,521 claims · 7.4%

Your Cost: $180.01/claim|Median: $169.17
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

17K claims · 4.6%

Your Cost: $61.38/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.0M

17K claims · 4.5%

Your Cost: $61.87/claim|Median: $69.35
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$786K

13K claims · 3.4%

Your Cost: $59.19/claim|Median: $74.82
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$736K

18K claims · 3.2%

Your Cost: $40.66/claim|Median: $39.70
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$544K

28K claims · 2.3%

Your Cost: $19.79/claim|Median: $12.59
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$470K

7,828 claims · 2.0%

Your Cost: $60.10/claim|Median: $80.15
0.7× median
87634Normal range

$416K

9,488 claims · 1.8%

Your Cost: $43.89/claim|Median: $48.78
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$395K

16K claims · 1.7%

Your Cost: $24.21/claim|Median: $30.53
0.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$389K

4,238 claims · 1.7%

Your Cost: $91.91/claim|Median: $97.61
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$349K

28K claims · 1.5%

Your Cost: $12.29/claim|Median: $11.48
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$315K

7,225 claims · 1.4%

Your Cost: $43.55/claim|Median: $65.64
0.7× median
90670Top 10%

$271K

11K claims · 1.2%

Your Cost: $23.97/claim|Median: $5.94
4.0× median
90648Top 10%

$266K

15K claims · 1.1%

Your Cost: $18.31/claim|Median: $4.08
4.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$243K

3,198 claims · 1.0%

Your Cost: $75.94/claim|Median: $62.48
1.2× median
90723Top 25%

DTaP-HepB-IPV vaccine

$209K

11K claims · 0.9%

Your Cost: $19.41/claim|Median: $5.78
3.4× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$201K

3,416 claims · 0.9%

Your Cost: $58.85/claim|Median: $37.22
1.6× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$180K

3,046 claims · 0.8%

Your Cost: $59.05/claim|Median: $17.85
3.3× median
90680Top 10%

$148K

7,578 claims · 0.6%

Your Cost: $19.55/claim|Median: $5.58
3.5× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$117K

6,365 claims · 0.5%

Your Cost: $18.45/claim|Median: $7.18
2.6× median
99173Normal range

$116K

31K claims · 0.5%

Your Cost: $3.77/claim|Median: $2.16
1.7× median
90633Top 10%

$116K

6,222 claims · 0.5%

Your Cost: $18.68/claim|Median: $3.56
5.2× median
90716Top 25%

$113K

5,545 claims · 0.5%

Your Cost: $20.41/claim|Median: $6.18
3.3× median
96110Normal range

Developmental screening, per standardized instrument

$111K

11K claims · 0.5%

Your Cost: $10.10/claim|Median: $9.10
1.1× median
99462Normal range

$107K

3,194 claims · 0.5%

Your Cost: $33.62/claim|Median: $27.49
1.2× median
90707Top 25%

MMR vaccine

$105K

5,408 claims · 0.5%

Your Cost: $19.47/claim|Median: $5.76
3.4× median
92551Normal range

Screening audiometry, pure tone, air only

$99K

23K claims · 0.4%

Your Cost: $4.37/claim|Median: $6.61
0.7× median
99401Top 25%

$90K

3,136 claims · 0.4%

Your Cost: $28.74/claim|Median: $16.53
1.7× median
54150Top 25%

$89K

654 claims · 0.4%

Your Cost: $135.85/claim|Median: $84.60
1.6× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$88K

1,662 claims · 0.4%

Your Cost: $53.07/claim|Median: $6.93
7.7× median
D1206Normal range

Topical application of fluoride varnish

$80K

5,071 claims · 0.3%

Your Cost: $15.80/claim|Median: $18.12
0.9× median
90651Top 25%

HPV vaccine, 9-valent

$77K

3,490 claims · 0.3%

Your Cost: $22.19/claim|Median: $8.93
2.5× median
J0561Normal range

$73K

610 claims · 0.3%

Your Cost: $119.83/claim|Median: $96.49
1.2× median
90671Normal range

$73K

3,328 claims · 0.3%

Your Cost: $21.95/claim|Median: $8.59
2.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$67K

7,588 claims · 0.3%

Your Cost: $8.89/claim|Median: $4.71
1.9× median
90734Top 25%

$62K

2,854 claims · 0.3%

Your Cost: $21.89/claim|Median: $6.40
3.4× median
83655Top 25%

$61K

4,457 claims · 0.3%

Your Cost: $13.68/claim|Median: $10.49
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$55K

15K claims · 0.2%

Your Cost: $3.75/claim|Median: $3.67
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$40K

4,468 claims · 0.2%

Your Cost: $9.06/claim|Median: $9.56
0.9× median
92552Top 25%

Pure tone audiometry, air only, each ear

$37K

1,405 claims · 0.2%

Your Cost: $26.19/claim|Median: $12.63
2.1× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$34K

625 claims · 0.1%

Your Cost: $54.63/claim|Median: $38.79
1.4× median
90696Top 25%

DTaP-IPV vaccine

$29K

1,563 claims · 0.1%

Your Cost: $18.58/claim|Median: $5.95
3.1× median
99215Top 25%

Office/outpatient visit, high complexity

$28K

232 claims · 0.1%

Your Cost: $122.76/claim|Median: $74.09
1.7× median
90700Top 10%

$28K

1,504 claims · 0.1%

Your Cost: $18.54/claim|Median: $4.56
4.1× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$26K

309 claims · 0.1%

Your Cost: $83.92/claim|Median: $57.85
1.5× median
90688Top 25%

$26K

1,471 claims · 0.1%

Your Cost: $17.46/claim|Median: $9.00
1.9× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$24K

218 claims · 0.1%

Your Cost: $112.12/claim|Median: $84.03
1.3× median
90715Normal range

Tdap vaccine

$23K

1,252 claims · 0.1%

Your Cost: $18.28/claim|Median: $10.32
1.8× median

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